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Published on: August 1, 2019
The episiotomy self-efficacy scale: a scale development study
Büşra Yolcu1, Zeliha Demir Kaymak2, Zekiye Turan3
1Department of Midwifery, Faculty of Health Sciences, Sakarya University, Sakarya, Turkey. busrayolcu@sakarya.edu.tr.
Background:
Self-efficacy mediates between knowledge and behaviour and is related to professional competence. It is very important to provide students with episiotomy skills, which are among the most important practices of midwives, and to increase their self-efficacy in this regard.
Aim:
The aim of this study was to develop a measurement tool that measures the self-efficacy of midwives regarding episiotomy application, one of the most critical tasks of midwives, in terms of cognitive, affective, motivational and psychomotor aspects.
Methods:
This methodological study was conducted with midwifery students in their 2nd, 3rd and 4th years. A sociodemographic information form and a draft episiotomy self-efficacy scale were used to collect data. Factor analysis, Cronbach's alpha and item-total score correlations were used to evaluate the data and two levels of confirmatory factor analysis (CFA) were conducted in the study.
Results:
The results of second-level CFA indicated the emergence of a structure consisting of seventeen items and four sub-dimensions. The factor loadings of the scale exhibited a range of 0.62-0.93. The goodness-of-fit index values were: RMSEA, 0.079; CFI, 0.961; AGFI, 0.834; and GFI, 0.875. Cronbach's alpha for the entire scale was found to be 0.955 and the corrected item-total correlations of the items were between 0.573 and 0.810.
Conclusions:
It was concluded that the overall scale is a valid and reliable measurement tool for midwifery students. Further studies are recommended to assess the validity and reliability of the scale using item pools in different languages.
Relevance To Clinical Practice:
Self-efficacy mediates between knowledge and behaviour and is related to professional competence. Therefore, determination of self-efficacy related to practices plays a major role in the way education is transferred. In this study, a scale was developed that measures individuals' episiotomy self-efficacy. This scale can distinguish between individuals with high or low episiotomy self-efficacy and individuals who take episiotomy course or not.
Clinical Trial Number:
Not applicable.
